Coordinated Care Hub

Blending community and clinical resources is at the heart of the Hub. This project supports and extends HFC’s current care coordination program. This care coordination program unites a diverse care team that expands beyond the clinic and into the community connecting patients with a broad range of community wellness resources including community health workers and community paramedics. Partners in this Coordinated Care Hub include HealthFinders, Mayo Health System, Northfield Hospital and Clinics, Allina Health Clinics, District One Hospital, part of Allina Health, and Rice County Public Health. This Coordinated Care Hub connects its patients to community resources focusing on nutrition, diabetes, goal setting, various physical exercise activities, and home visits.

The ultimate aim of this Coordinated Care Hub is to increase the effectiveness of the management of cardiovascular disease and diabetes for the underserved population in Rice County 25% by July of 2018.

Wellness Model


HealthFinders Collaborative (HFC) was selected as one of three organizations in Minnesota, and one of 6 worldwide, to receive a HealthRise Grant through the Medtronic Foundation. The goal of HealthRise is to improve the health of underserved populations living with cardiovascular disease and/or diabetes. Pillsbury United Communities and Regions Hospital Foundation are also HealthRise US grantees. The three worldwide organizations to receive HealthRise grants are located in Brazil, South Africa and India. Funding awarded to HFC is for $600,000 spanning a three-year period.

diabetes picnic zumba

Health Disparities

While Minnesota is considered one of the healthiest states in the country, a large gap exists between the health of the white population and people of color. The US HealthRise initiative aims to decrease the health disparity for those living with the chronic conditions of diabetes and cardiovascular disease in Minnesota.


Charlie Mandile, HFCs’ Executive Director said, “It is exciting to unite health care providers across Rice County around one goal. This project works to expand the traditional definition of health care teams, engaging communities’ right where health is happening.”

Stay tuned for updates as the project progresses!

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